eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Radiology/Imaging in Otolaryngology

Image-Guided Surgery: Multimedia

Author: Babak Sadoughi, MD, Resident Physician, Department of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine
Coauthor(s): Seth M Brown, MD, MBA, Assistant Clinical Professor, Department of Surgery, Division of Otolaryngology, University of Connecticut School of Medicine; Director, The Connecticut Sinus Institute; Nathan E Nachlas, MD, Boca Raton Center for Facial Plastic and Reconstructive Surgery; Marvin P Fried, MD, FACS, Professor and University Chairman, Department of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine
Contributor Information and Disclosures

Updated: Mar 3, 2010

Multimedia

Old image-guided surgery (IGS) systems used an ar...Media file 1: Old image-guided surgery (IGS) systems used an articulated arm (shown) and required the patient's head to be taped to the operating room bed.
Old image-guided surgery (IGS) systems used an ar...

Old image-guided surgery (IGS) systems used an articulated arm (shown) and required the patient's head to be taped to the operating room bed.

Current electromagnetic image-guided surgery (IGS...Media file 2: Current electromagnetic image-guided surgery (IGS) system (InstaTrak 3500 Plus, GE Medical Systems, formerly Visualization Technologies, Inc.).
Current electromagnetic image-guided surgery (IGS...

Current electromagnetic image-guided surgery (IGS) system (InstaTrak 3500 Plus, GE Medical Systems, formerly Visualization Technologies, Inc.).

Verification of accuracy using patient anatomical...Media file 3: Verification of accuracy using patient anatomical landmarks.
Verification of accuracy using patient anatomical...

Verification of accuracy using patient anatomical landmarks.

Surgeon's view of the computer monitor showing th...Media file 4: Surgeon's view of the computer monitor showing the sagittal, axial, and coronal depictions in real time of the surgery progress. The fourth window can be either the real time video or a computer 3-dimensional rendition of the surgical field.
Surgeon's view of the computer monitor showing th...

Surgeon's view of the computer monitor showing the sagittal, axial, and coronal depictions in real time of the surgery progress. The fourth window can be either the real time video or a computer 3-dimensional rendition of the surgical field.

In this image, the surgeon is attempting to local...Media file 5: In this image, the surgeon is attempting to localize the right sphenoid sinus during image-guided surgery. The cross-hairs are clearly located on the right sphenoid sinus.
In this image, the surgeon is attempting to local...

In this image, the surgeon is attempting to localize the right sphenoid sinus during image-guided surgery. The cross-hairs are clearly located on the right sphenoid sinus.

More on Image-Guided Surgery

References

References

  1. Fried MP, Morrison PR. Computer-augmented endoscopic sinus surgery. Otolaryngol Clin North Am. Apr 1998;31(2):331-40. [Medline].

  2. Fried MP, Moharir VM, Shin J, et al. Comparison of endoscopic sinus surgery with and without image guidance. Am J Rhinol. Jul-Aug 2002;16(4):193-7. [Medline].

  3. Kacker A, Tabaee A, Anand V. Computer-assisted surgical navigation in revision endoscopic sinus surgery. Otolaryngol Clin North Am. Jun 2005;38(3):473-82, vi. [Medline].

  4. Lusk R. Computer-assisted functional endoscopic sinus surgery in children. Otolaryngol Clin North Am. Jun 2005;38(3):505-13, vii. [Medline].

  5. Fried MP, Parikh SR, Sadoughi B. Image-guidance for endoscopic sinus surgery. Laryngoscope. Jul 2008;118(7):1287-92. [Medline].

  6. Stammberger H. Functional Endoscopic Sinus Surgery. Philadelphia: BC Decker; 1991.

  7. Metson RB, Cosenza MJ, Cunningham MJ, et al. Physician experience with an optical image guidance system for sinus surgery. Laryngoscope. Jun 2000;110(6):972-6. [Medline].

  8. Fuoco G, Chiodo A, Smith O, et al. Clinical experience with angulated, hand-activated, wireless instruments in an optical tracking system for endoscopic sinus surgery. J Otolaryngol. Oct 2005;34(5):317-22. [Medline].

  9. Fried MP, Kleefield J, Gopal H, et al. Image-guided endoscopic surgery: results of accuracy and performance in a multicenter clinical study using an electromagnetic tracking system. Laryngoscope. May 1997;107(5):594-601. [Medline].

  10. Metson R, Gliklich RE, Cosenza M. A comparison of image guidance systems for sinus surgery. Laryngoscope. Aug 1998;108(8 Pt 1):1164-70. [Medline].

  11. Leong JL, Batra PS, Citardi MJ. CT-MR image fusion for the management of skull base lesions. Otolaryngol Head Neck Surg. May 2006;134(5):868-76. [Medline].

  12. Brown SM, Sadoughi B, Cuellar H, et al. Feasibility of near real-time image-guided sinus surgery using intraoperative fluoroscopic computed axial tomography. Otolaryngol Head Neck Surg. Feb 2007;136(2):268-73. [Medline].

  13. Fried MP, Topulos G, Hsu L, et al. Endoscopic sinus surgery with magnetic resonance imaging guidance: initial patient experience. Otolaryngol Head Neck Surg. Oct 1998;119(4):374-80. [Medline].

Further Reading

Keywords

image-guided surgery, image guided surgery, IGS, computer-assisted surgery, endoscopic sinus surgery, computerized navigation, computer-guided surgery, intraoperative navigation, image guided procedures, image-guided procedures

Contributor Information and Disclosures

Author

Babak Sadoughi, MD, Resident Physician, Department of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine
Babak Sadoughi, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, Association for Research in Otolaryngology, and Medical Society of the State of New York
Disclosure: Nothing to disclose.

Coauthor(s)

Seth M Brown, MD, MBA, Assistant Clinical Professor, Department of Surgery, Division of Otolaryngology, University of Connecticut School of Medicine; Director, The Connecticut Sinus Institute
Seth M Brown, MD, MBA is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Rhinologic Society, and North American Skull Base Society
Disclosure: Nothing to disclose.

Nathan E Nachlas, MD, Boca Raton Center for Facial Plastic and Reconstructive Surgery
Nathan E Nachlas, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery
Disclosure: Nothing to disclose.

Marvin P Fried, MD, FACS, Professor and University Chairman, Department of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine
Marvin P Fried, MD, FACS is a member of the following medical societies: Alpha Omega Alpha, American Academy of Otolaryngology-Head and Neck Surgery, American Bronchoesophagological Association, American College of Surgeons, American Laryngological Association, American Laryngological Rhinological and Otological Society, American Medical Association, American Rhinologic Society, American Society for Head and Neck Surgery, American Society for Laser Medicine and Surgery, American Society of Plastic and Reconstructive Surgery, Massachusetts Medical Society, Phi Beta Kappa, and Society of University Otolaryngologists-Head and Neck Surgeons
Disclosure: Entrigue Consulting fee Board membership

Medical Editor

Ted L Tewfik, MD, FRCS(C),, Professor, Department of Otolaryngology, Director of Continuing Medical Education of Otolaryngology, McGill University Medical School; Director of Professional Affairs of Otolaryngology, Division of Otolaryngology, Montreal Children's Hospital; Senior Staff, Montreal General Hospital and Royal Victoria Hospital
Ted L Tewfik, MD, FRCS(C), is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Society of Pediatric Otolaryngology, Canadian Medical Association, Canadian Society of Otolaryngology-Head & Neck Surgery, Quebec Medical Association, and Royal College of Physicians and Surgeons of Canada
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Karen Hall Calhoun, MD, Professor, Department of Otolaryngology-Head and Neck Surgery, The Ohio State University
Karen Hall Calhoun, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngic Allergy, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Head and Neck Society, American Medical Association, American Rhinologic Society, Association for Research in Otolaryngology, Society of University Otolaryngologists-Head and Neck Surgeons, Southern Medical Association, Texas Medical Association, and Texas Medical Association
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo  Consulting; Medvoy Ownership interest Management position

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.